| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $18.60 | $34.63 | $55.40 | |
Moda Health
| Professional | $29.45 | $29.45 | $29.45 | |
Premera BCBS
| Professional | $30.62 | $43.40 | $90.45 | |
Providence
| Professional | $31.00 | $43.40 | $93.00 | |
United
| Professional | $17.50 | $52.68 | $57.55 |